MESA DEVELOPMENTAL SERVICES NPI 1437289097

NPI Information

NPI: 1437289097
Provider Name: MESA DEVELOPMENTAL SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
790 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 243-3702
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MESA DEVELOPMENTAL SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Grand Junction, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MESA DEVELOPMENTAL SERVICES NPI is 1437289097. The provider is registered as an organization entity type.

The provider's business location address is:

790 WELLINGTON AVE
GRAND JUNCTION, CO
ZIP 81501-126
Phone: (970) 243-3702
Fax: (970) 243-7751

The provider's authorized official is Grant Jackson .
The authorized official title is Ceo and has the following contact phone number (970) 256-8618.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 2/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	251B00000X	Case Management	No
2	251C00000X	Day Training, Developmentally Disabled Services	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes
4	385H00000X	Respite Care	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90000142910	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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